Provider Demographics
NPI:1639243439
Name:LABOR OF LOVE CHILDBIRTH SVCS, INC
Entity Type:Organization
Organization Name:LABOR OF LOVE CHILDBIRTH SVCS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:DAUGHTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-734-2229
Mailing Address - Street 1:990 BROADWAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5763
Mailing Address - Country:US
Mailing Address - Phone:727-734-2229
Mailing Address - Fax:727-734-8855
Practice Address - Street 1:990 BROADWAY
Practice Address - Street 2:SUITE C
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5763
Practice Address - Country:US
Practice Address - Phone:727-734-2229
Practice Address - Fax:727-734-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty